| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.38 | $21.80 | $469.80 | |
Aetna
| Professional | $11.92 | $21.37 | $21.80 | |
Anthem BCBS
| Professional | $21.80 | $21.80 | $360.00 | |
Cigna
| Facility | $17.32 | $17.32 | $17.32 | |
Cigna
| Professional | $17.32 | $17.32 | $17.32 | |
Hometown Health
| Professional | $28.78 | $28.78 | $28.78 | |
United
| Professional | $13.25 | $20.38 | $20.38 |